lOMoARcPSD|
b
COMPLETE TEST BANK LILLEYS PHARMACOLOGY FO
b b b b b
HEALTH CARE PRACTICE 4TH EDITION SEALOCK Q
b b b b b b b
ANSWERS WITH RATIONALES (CHAPTER 1
b b b b b
, lOMoARcPSD|
b
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
b b b b b b b b b b b b b b b b b b b
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem beca
b b b b b b b b b b b b b b b b b
an inability to swallow. This is not a ―right medication‖ problem because the medication ordered will n
b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application b b
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and ha
b b b b b b b b b b b b b b b b b b
bof possible adverse effects. What nursing process phase is the nurse practising?
b b b b b b b b b b b
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis b
ANS: B b
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
b b b b b b b b b b b b b
by this example.
b b b
DIF: Cognitive Level: Application b b
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which stat
b b b b b b b b b b b b b b b b b b
boutcome criterion for this patient? b b b b
a. The patient will follow instructions.
b b b b
b. The patient will not experience complications.
b b b b b
c. The patient adheres to the new insulin treatment regimen.
b b b b b b b b
d. The patient demonstrates safe insulin self-administration technique.
b b b b b b
ANS: D b
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable ou
b b b b b b b b b b b b b
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatme
b b b b b b b b b b b b b b
and would be difficult to measure.
b b b b b b
DIF: Cognitive Level: Application b b
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly
b b b b b b b b b b b b b b b b
bdiabetes mellitus? b
a. Providing education regarding self-injection technique b b b b
b. Setting goals and outcome criteria with the patient‘s input
b b b b b b b b
c. Recording a history of over-the-counter medications used at home b b b b b b b b
d. Formulating nursing diagnoses regarding knowledge deficits related to the new b b b b b b b b b
treatment regimen
b b
ANS: A b
Education is an intervention that occurs during the implementation phase. Setting goals and outcome crit
b b b b b b b b b b b b b b
phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regardin
b b b b b b b b b b b b b
reflects analysis of data as part of the planning phase.
b b b b b b b b b b
DIF: Cognitive Level: Analysis b b
,lOMoARcPSD|
b
, lOMoARcPSD|
b
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse
b b b b b b b b b b b b b b b b b b b
the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medic
b b b b b b b b b b b b b b b b b b b b b
a. Recopy the order neatly on the order sheet, with the most common route indicated
b b b b b b b b b b b b b
b. Consult with the pharmacist for clarification about the most common route
b b b b b b b b b b
c. Call the health care provider to clarify the route of administration
b b b b b b b b b b
d. Withhold the drug until the health care provider visits the patient
b b b b b b b b b b
ANS: C b
If a medication order does not include the route, the nurse must ask the health care provider to clarify it.
b b b b b b b b b b b b b b b b b b b b
badministration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
b b b b b b
7. Which constitutes the traditional Five Rights of medication administration?
b b b b b b b b
a. Right drug, right route, right dose, right time, and right patient
b b b b b b b b b b
b. Right drug, the right effect, the right route, the right time, and the right patient
b b b b b b b b b b b b b b
c. Right patient, right strength, right diagnosis, right drug, and right route
b b b b b b b b b b
d. Right patient, right diagnosis, right drug, right route, and right time
b b b b b b b b b b
ANS: A b
The traditional Five Rights of medication administration were considered to be Right drug, Right route, R
b b b b b b b b b b b b b b b
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights
b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension b b
8. What correctly describes the nursing process?
b b b b b
a. Diagnosing, planning, assessing, implementing, and finally evaluating b b b b b b
b. Assessing, then diagnosing, implementing, and ending with evaluating
b b b b b b b
c. A linear direction that begins with assessing and continues through diagnosing,
b b b b b b b b b b
planning, and finally implementing
b b b b
d. An ongoing process that begins with assessing and continues with diagnosing,
b b b b b b b b b b
planning, implementing, and evaluating
b b b b
ANS: D b
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with a
b b b b b b b b b b b b b b b
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application b b
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
b b b b b b b b b b b b b b b b
a. The patient‘s identification b b
b. The patient‘s weight b b
c. The patient‘s last meal b b b
d. Any drug or food allergies b b b b
ANS: C b
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to an
b b b b b b b b b b b b b b b
compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application b b
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursin
b b b b b b b b b b b b b b b b b b
a. Anxiety
b. Anxiety related to new drug therapy b b b b b
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
b b b b b b b b b b
statements such as ―I‘m upset about having to give myself shots‖
b b b b b b b b b b b
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
b b b b b b b b b b b b
upset about having to give myself shots‖
b b b b b b b
ANS: D b
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is ―Anxiet
b b b b b b b b b b b b b b
b
COMPLETE TEST BANK LILLEYS PHARMACOLOGY FO
b b b b b
HEALTH CARE PRACTICE 4TH EDITION SEALOCK Q
b b b b b b b
ANSWERS WITH RATIONALES (CHAPTER 1
b b b b b
, lOMoARcPSD|
b
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
b b b b b b b b b b b b b b b b b b b
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem beca
b b b b b b b b b b b b b b b b b
an inability to swallow. This is not a ―right medication‖ problem because the medication ordered will n
b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application b b
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and ha
b b b b b b b b b b b b b b b b b b
bof possible adverse effects. What nursing process phase is the nurse practising?
b b b b b b b b b b b
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis b
ANS: B b
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
b b b b b b b b b b b b b
by this example.
b b b
DIF: Cognitive Level: Application b b
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which stat
b b b b b b b b b b b b b b b b b b
boutcome criterion for this patient? b b b b
a. The patient will follow instructions.
b b b b
b. The patient will not experience complications.
b b b b b
c. The patient adheres to the new insulin treatment regimen.
b b b b b b b b
d. The patient demonstrates safe insulin self-administration technique.
b b b b b b
ANS: D b
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable ou
b b b b b b b b b b b b b
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatme
b b b b b b b b b b b b b b
and would be difficult to measure.
b b b b b b
DIF: Cognitive Level: Application b b
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly
b b b b b b b b b b b b b b b b
bdiabetes mellitus? b
a. Providing education regarding self-injection technique b b b b
b. Setting goals and outcome criteria with the patient‘s input
b b b b b b b b
c. Recording a history of over-the-counter medications used at home b b b b b b b b
d. Formulating nursing diagnoses regarding knowledge deficits related to the new b b b b b b b b b
treatment regimen
b b
ANS: A b
Education is an intervention that occurs during the implementation phase. Setting goals and outcome crit
b b b b b b b b b b b b b b
phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regardin
b b b b b b b b b b b b b
reflects analysis of data as part of the planning phase.
b b b b b b b b b b
DIF: Cognitive Level: Analysis b b
,lOMoARcPSD|
b
, lOMoARcPSD|
b
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse
b b b b b b b b b b b b b b b b b b b
the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medic
b b b b b b b b b b b b b b b b b b b b b
a. Recopy the order neatly on the order sheet, with the most common route indicated
b b b b b b b b b b b b b
b. Consult with the pharmacist for clarification about the most common route
b b b b b b b b b b
c. Call the health care provider to clarify the route of administration
b b b b b b b b b b
d. Withhold the drug until the health care provider visits the patient
b b b b b b b b b b
ANS: C b
If a medication order does not include the route, the nurse must ask the health care provider to clarify it.
b b b b b b b b b b b b b b b b b b b b
badministration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
b b b b b b
7. Which constitutes the traditional Five Rights of medication administration?
b b b b b b b b
a. Right drug, right route, right dose, right time, and right patient
b b b b b b b b b b
b. Right drug, the right effect, the right route, the right time, and the right patient
b b b b b b b b b b b b b b
c. Right patient, right strength, right diagnosis, right drug, and right route
b b b b b b b b b b
d. Right patient, right diagnosis, right drug, right route, and right time
b b b b b b b b b b
ANS: A b
The traditional Five Rights of medication administration were considered to be Right drug, Right route, R
b b b b b b b b b b b b b b b
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights
b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension b b
8. What correctly describes the nursing process?
b b b b b
a. Diagnosing, planning, assessing, implementing, and finally evaluating b b b b b b
b. Assessing, then diagnosing, implementing, and ending with evaluating
b b b b b b b
c. A linear direction that begins with assessing and continues through diagnosing,
b b b b b b b b b b
planning, and finally implementing
b b b b
d. An ongoing process that begins with assessing and continues with diagnosing,
b b b b b b b b b b
planning, implementing, and evaluating
b b b b
ANS: D b
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with a
b b b b b b b b b b b b b b b
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application b b
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
b b b b b b b b b b b b b b b b
a. The patient‘s identification b b
b. The patient‘s weight b b
c. The patient‘s last meal b b b
d. Any drug or food allergies b b b b
ANS: C b
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to an
b b b b b b b b b b b b b b b
compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application b b
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursin
b b b b b b b b b b b b b b b b b b
a. Anxiety
b. Anxiety related to new drug therapy b b b b b
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
b b b b b b b b b b
statements such as ―I‘m upset about having to give myself shots‖
b b b b b b b b b b b
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
b b b b b b b b b b b b
upset about having to give myself shots‖
b b b b b b b
ANS: D b
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is ―Anxiet
b b b b b b b b b b b b b b
